Healthcare Provider Details

I. General information

NPI: 1609922137
Provider Name (Legal Business Name): BEYER DENTAL LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MILWAUKEE AVE
BUFFALO GROVE IL
60089-2812
US

IV. Provider business mailing address

200 MILWAUKEE AVE
BUFFALO GROVE IL
60089-2812
US

V. Phone/Fax

Practice location:
  • Phone: 847-520-0770
  • Fax: 847-558-7837
Mailing address:
  • Phone: 847-520-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. IRENE BEYER
Title or Position: PRESIDENT
Credential: DDS
Phone: 847-520-0770